Organization
LIFE SKILL REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYNDA RAY M.S. CCC/SLP (PRESIDENT/OWNER)
(618) 599-0743
Entity
Organization
Contact information
Practice address
636 N LAKE BLVD, TARPON SPRINGS, FL 34689-5247
(618) 599-0743
Mailing address
636 N LAKE BLVD, TARPON SPRINGS, FL 34689-5247
(618) 599-0743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851439467
NPI
—
Enumeration date
01/05/2019
Last updated
01/13/2019
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